By Allison Brashear MD
A Doody's center identify 2012
Spasticity: prognosis and Management is the 1st ebook completely devoted to the prognosis and therapy of spasticity. This pioneering paintings defines spasticity within the huge context of higher Motor Neuron Syndrome and focuses no longer on a unmarried part, yet at the complete constellation of stipulations that make up the UMNS and infrequently result in disability.
Spasticity: analysis and Management in actual fact defines the method for the prognosis of spasticity, the fundamental technological know-how at the back of its pathophysiology, the size instruments used for review, and reports the to be had therapies. Divided into 5 sections, this entire scientific source offers a roadmap for assessing the advanced photograph of spasticity and selecting the ideal interventions. remedies together with oral medicines, intrathecal baclofen, botulinum toxin and phenol, and surgical ideas are completely mentioned, as are non-medical treatments and the function of the rising applied sciences. the total spectrum of illnesses related to spasticity in adults and youngsters and the original diagnostic and administration demanding situations they current is addressed via skilled clinicians. this article is a one-stop resource for physicians, therapists and different individuals of the spasticity administration group tasked with the objective of enhancing sufferer care and outcomes.
Special good points of Spasticity: analysis and Management include
- In-depth insurance of diagnoses, interventions, and results throughout a number of pathologies
- Tools and medical measurements for sufferer evaluation
- Treatment-focused chapters outlining present scientific and different healing innovations
- Illustrated overview of limb anatomy
- Hands-on assistance to chemodenervation recommendations with botulinum toxin and phenol, and ITB administration
- Disease-based chapters dedicated to the whole variety of medical stipulations related to spasticity in adults.and kids
- Multidisciplinary point of view assisting a staff method of care
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Extra resources for Spasticity: Diagnosis and Management
Sample text
International classification of siseases, ninth revision, clinical modification [CDROM]. 5th ed. Washington, DC: US Government Printing Office; 2006. 3 Spasticity and Other Signs of the Upper Motor Neuron Syndrome Nathaniel H. Mayer The noted 19th century neurologist John Hughlings Jackson was one of the first to recognize that a lesion of the central nervous system could simultaneously result in the development of positive and negative signs, although he did not believe that the lesion directly caused the observed signs.
Muscle tonus, that is, baseline tone of muscle as an organ (like baseline peristalsis of the intestinal tract) cannot be measured by stretching because a stretched UMNS muscle is no longer at baseline, with reflex tension typically developing when it is stretched. Logically, baseline tone of a spastic muscle needs to be measured before it is stretched to avoid generating stretch reflex tension. We note that nerve blocks can eliminate reflex contraction (a variation on Sherrington’s “dorsal root” strategy) and reveal the state of muscle tone freed from reflex contraction.
2. Lundstrom E, Terent A, Borg J. Prevalence of disabling spasticity 1 year after first-ever stroke. Eur J Neurol. 2008;15: 533–539. 3. Maynard FM, Karunas RS, Waring WP. Epidemiology of spasticity following traumatic spinal cord injury. Arch Phys Med Rehabil. 1990;71:566–569. 4. Francisco GE. How common is spastic hypertonia during stroke rehabilitation? Arch Phys Med Rehabil. 2002;83:A21. Abstract. 5. Sköld C, Levi R, Seiger Å. Spasticity after traumatic spinal cord injury: nature, severity, and location.